| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29,857.50 | $57,120.90 | $116,054.00 | |
Cigna
| Facility | $87,312.12 | $87,312.12 | $92,767.50 | |
Premera BCBS
| Facility | $7,500.00 | $33,743.50 | $59,144.20 | |
Providence
| Facility | $7,500.00 | $37,489.49 | $92,767.50 |